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Organization

TERRELL MEDICAL CLINIC & REHAB PA

Active
Parent organization
MARON D. PADILLA M.D.
Other names
DALLAS MEDICAL CLINIC AND REHAB
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARON D. PADILLA M.D.
Authorized official
DR. MARLON D PADILLA MD (CEO)
(972) 563-1636
Entity
Organization

Contact information

Practice address
1553 HIGHWAY 34 S, SUITE 300, TERRELL, TX 75160-4833
(972) 563-1636
(972) 551-6968
Mailing address
1553 HIGHWAY 34 S, SUITE 300, TERRELL, TX 75160-4833
(972) 563-1636
(972) 551-6968

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
K2254
TX
363LF0000X
Family Nurse Practitioner
558614
TX

Other

Enumeration date
02/12/2009
Last updated
03/27/2009
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